NPI 1780989202

Specialty Therapy

Organisation Early Intervention Provider Agency Evanston, IL

Practice location

Address: 1119 Hull Ter 2, Evanston, IL 60202-3312
Phone: (312) 860-9017
Mailing address: E17017 Nevins Lake Rd, Shingleton, MI 49884-9651

Authorised official

Name: Dan Utchenik
Title: Proprietor
Phone: (312) 860-9017

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Illinois →

Registry record

NPI: 1780989202
Entity type: Organization
NPI issued: 13 Jan 2011
Record last updated: 13 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.